JOSH DAVID SIMMONS MD
NPI 1942461132
Internal Medicine - Hematology & Oncology in Thomasville, GA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
919 S BROAD ST, THOMASVILLE, GA 31792(229) 584-5400(229) 551-8643 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Josh David Simmons Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSH DAVID SIMMONS MD (NPI 1942461132) is an individual hematology & oncology provider in Thomasville, Georgia, licensed in Georgia (064969) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942461132
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOSH DAVID SIMMONSCredential: MD
Location Address919 S BROAD STThomasville, GA 31792-6114
Mailing Address900 Cairo RdThomasville, GA 31792-4255 · (229) 227-5102 · Fax (229) 227-5193
Fax(229) 551-8643
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 19, 2008
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
NPI 1942461132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 064969
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 003052 (GA)
919 S BROAD ST, Thomasville, GA 31792

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Josh David Simmons Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577740737
PECOS Enrollment IDI20110615000779
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
427 services159 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
170 services66 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Archbold Grady

Acute Care Hospitals · Cairo, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Archbold Mitchell

Critical Access Hospitals · Camilla, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111331
Location90 E Stephens StreetCamilla, GA 31730 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
919 S BROAD ST
THOMASVILLE, GA 31792
Nurse Practitioner (Family)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Hematology & Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Medical Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Nurse Practitioner (Family)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Hematology & Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Nurse Practitioner (Acute Care)
919 S BROAD ST
THOMASVILLE, GA 31792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josh Simmons's NPI number?

The NPI number for Josh Simmons is 1942461132. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Josh Simmons located?

Josh Simmons practices at 919 S Broad St, Thomasville, GA 31792. The listed phone number is (229) 584-5400.

What is Josh Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Josh Simmons enrolled in Medicare?

Yes. Josh Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Josh Simmons accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Josh Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Josh Simmons affiliated with any hospitals?

According to CMS data, Josh Simmons is affiliated with Archbold Memorial, Archbold Grady, Memorial Hospital And Manor and Archbold Mitchell.

When was this NPI record last updated?

The NPPES record for Josh Simmons was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.